1. Organizational Compliance
House Staff Responsibility

2. Temple University Health System (TUHS) requires that all employees be compliant with federal, state and corporate requirements. This includes, but is not limited to:
TUHS annual competencies
PPD testing
Workman’s Compensation case follow-up (eg, needlestick injuries, TB exposure)
Medical records completion
NPI Number acquisition
FIT Testing
Influenza vaccination
Others as required.

3. Compliance is Important!
Compliance is set up to protect:
The patient
The Healthcare Provider
The Healthcare Team
The Hospital
The organization

4. Procedure
Monthly notifications of compliance requirements will be sent to the house staff and program coordinators.
will contain pending requirements.
This will inform the house staff and the program coordinators that a deadline is forthcoming.

5. It’s Coming!!!
One month in advance of the quarterly deadline, house staff, program directors and program coordinators will receive a notification that the deadline is in one month’s time. This will include an attachment with the list of individuals not in compliance and the reason for the non-compliance.
One week in advance of the deadline, the same with an updated list will be sent.
The day of the deadline, another will be sent to the same individuals.

6. You didn’t do it! Now what?
At the end of that day, house staff that are still not in compliance will have their MIS and parking privileges, meal cards and pay suspended.
Suspension will remain in effect until all outstanding deadlines are met. Once completed, notification of reinstatement will be sent to the same parties.
Suspensions are implemented in four hour increments.